Medical Coding Specialist III-Profee-Dept of Pathology
Middleton, ID - USA
Job Summary
Work Schedule:
This is a full-time 1.0 FTE position that is 100% remote. Applicants hired into this position can work remotely from most states. This will be discussed during the interview process.
To be eligible to work remotely you must be in an approved remote work state for UW Health. Weve included a link below to view the full list of approved remote work states.
Approved Remote Work States Listing
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We are seeking a Medical Coding Specialist I/II:
- Utilize available encoder grouper software and other coding resources to determine the appropriate ICD-10-CM CPT and/or HCPCS including specialty specific codes and Evaluation and Management (E&M) codes.
- Maintain an understanding and apply knowledge of National Correct Coding Initiatives (NCCI) Local Coverage Documents and National Coverage Documents (LCD/NCD) directives Medically Unlikely Edits (MUEs) and Medicare Teaching Physician Guidelines applying knowledge of applicable regulatory requirements and institutional guidelines to select appropriate codes and modifiers.
- Responsible for resolution of pre-bill claim edits (OCE CCI MUE Medical Necessity etc.) from all Hospital Billing clinical areas. You will strive to produce the cleanest claim possible before it moves on to Billing or out to the payer.
At UW Health you will have:
- An excellent benefits package including health and dental insurance paid time off retirement plans two-week paid parental leave and adoption assistance.
- Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance.
- Access to great resources through the UW Health Employee Wellbeing Department that supports your emotional financial and physical well-being.
- Tuition benefits eligibility - UW Health invests in your professional growth by helping pay for coursework associated with career advancement.
- The opportunity to earn a referral bonus for referring friends former colleagues or others to apply for open posted positions.
High School Diploma or currently enrolled in a Medical Coding Program or i
n lieu of a medical coding education an active coding certification Required
- Associates Degree in a healthcare related field Preferred
- 1 year of progressive coding experience (For HCC-specific roles experience must be specific to HCC) Preferred
- 2 years progressive coding experience in multiple specialties HCC Risk adjustment Coding Preferred
- Certified Professional Coder (CPC) within 1 year Required or
- Certified Outpatient Coder (COC) within 1 year Required or
- Certified Inpatient Coder (CIC) within 1 year Required or
- Certified Coding Specialist (CCS) within 1 year Required or
- Certified Coding Specialist Physician-Based (CCS-P) within 1 year Required or
- Certified Coding Associate (CCA) within 1 year Required or
Certified Risk Adjustment Coder (CRC) within 1 year Required or
- Registered Health Information Technician (RHIT) Preferred or
- Registered Health Information Administrator (RHIA) Preferred
Job Description Medical Coding Specialist I
Required Experience:
IC
Key Skills
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